NPIMap

Organization Active NPI

Capital City Chiropractic, LLC

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1053655571
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CAPITAL CITY CHIROPRACTIC, LLC
Practice address
1221 Bower Pkwy
Suite 108
Columbia, SC 29212-3732
Phone
(803) 708-4258
Fax
(803) 708-4373
NPI assigned
Nov 21, 2012
Last updated
Oct 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sarah K Losby, DCNPI 1831409341
Title
Owner
Phone
(803) 708-4258

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1221 Bower Pkwy
Suite 108
Columbia, SC 29212-3732

Mailing address

1221 Bower Pkwy
Suite 108
Columbia, SC 29212-3732
Phone (803) 708-4258

Other names 1

  • GFC Enterprises, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130315000458 SC Part B Supplier - Clinic/Group Practice 2466697651 Receives reassigned benefits from 4 practitioners
Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Locations

1221 Bower Pkwy
Ste 108
Columbia, SC 29212
Phone (803) 706-4258

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1053655571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 BOWER PKWY",
            "address_2": "SUITE 108",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123732",
            "telephone_number": "803-708-4258",
            "fax_number": "803-708-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 BOWER PKWY",
            "address_2": "SUITE 108",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123732",
            "telephone_number": "803-708-4258",
            "fax_number": "803-708-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CITY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "LOSBY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-708-4258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GFC Enterprises, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.